APPALACHIAN MEDICINE, PLLC
NPI 1720976574
Nurse Practitioner - Family in Rich Creek, VA

Active since June 27, 2025
120 OLD VIRGINIA AVE, RICH CREEK, VA 24147(540) 235-1940(540) 276-6833 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Oct 9, 2025, Sep 10, 2025 and 3 more (6 updates tracked since 2025).

About Appalachian Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPALACHIAN MEDICINE, PLLC (NPI 1720976574) is a healthcare organization registered as a family in Rich Creek, Virginia and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Roanoke and lists Holly D. Earles, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1720976574
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAPPALACHIAN MEDICINE, PLLC
Location Address120 OLD VIRGINIA AVERich Creek, VA 24147-9669
Mailing Address5082 Thornspring RdPulaski, VA 24301-7032 · (540) 235-1940 · Fax (540) 276-6833
Fax(540) 276-6833
Organization SubpartNo
Authorized OfficialHolly D. EarlesFnp/owner · (540) 235-1940
Enumeration DateJune 27, 2025
Last NPPES UpdateAugust 18, 20266 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1720976574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
120 OLD VIRGINIA AVE, Rich Creek, VA 24147

Secondary Practice Location 1

Location 11009 Old Country Club Rd NWRoanoke, VA 24017-2927 · Phone (540) 235-1940 · Fax (540) 276-6833

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Appalachian Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Appalachian Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1174411623
1009 OLD COUNTRY CLUB RD NW
Roanoke, VA 24017
(540) 235-1940
✔ PECOS✔ Accepts Medicare47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appalachian Medicine, PLLC's NPI number?

The NPI number for Appalachian Medicine, PLLC is 1720976574. It was assigned to this organization in the NPPES registry on June 27, 2025.

Where is Appalachian Medicine, PLLC located?

Appalachian Medicine, PLLC is located at 120 Old Virginia Ave, Rich Creek, VA 24147. The listed phone number is (540) 235-1940.

What is Appalachian Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Appalachian Medicine, PLLC enrolled in Medicare?

Yes. Appalachian Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Appalachian Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Appalachian Medicine, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Appalachian Medicine, PLLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.